Hospital

SHARKEY ISSAQUENA COMMUNITY HOSPITAL

Rolling Fork, MS · CCN 250784 · Rates published

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You selected 93306 (HCPCS)

ECHO DOPPLER

This hospital’s price: $428 across 8 payers · range $167-$966

Source: https://api.pcloud.com/getpubzip?code=XZGROv5ZjUSOUtoG5HQgkhG8chdyGFASOdK7 · observed 2026-05-19

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,212 distinct procedures filed

8 distinct payers

12,436 rate rows

2026-05-19 last MRF observed

Data quality

11,048 of 12,436 rate rows are consumer-grade (88.8%)

1,388 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1,314
percent-of-charges filed in the dollar field — excluded from medians	72
exceeds 10× this hospital's gross charge — excluded from medians	2

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://api.pcloud.com/getpubzip?code=XZGROv5ZjUSOUtoG5HQgkhG8chdyGFASOdK7
Found on page	https://www.simedical.org/price-transparancy/
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-20
Content fingerprint	6646fcb5a01b187a… · 4,634,914 bytes · first seen 2026-10-07

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3101 HCPCS	Tenecteplase (TNKase) Inj 50mg	5	$162.43	$8,425.50	$7,582.95	nat. median $3,787 outlier · 2.0×
J2997 HCPCS	Alteplase (activase) 100mg IV	5	$91.48	$9,250.00	$4,625.00	nat. median $500 outlier · 9.3×
87536 HCPCS	Viral Load	5	$76.59	$3,640.88	$3,276.79	nat. median $149 outlier · 22.0×
J3590 HCPCS	Romosozumabaqqg 210mg/2.34 Ml Sq Inj	3	$2,520.00	$2,800.00	$2,800.00	nat. median $775 outlier · 3.6×
J0897 HCPCS	Denosumab (prolia) 60mg/ml Inj	5	$27.66	$1,700.00	$1,500.00	nat. median $1,982 0.8× median
81184 HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	$1,268.66	$1,409.62	$1,409.62	nat. median $144 outlier · 9.8×
81181 HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	$1,268.66	$1,409.62	$1,409.62	nat. median $144 outlier · 9.8×
81179 HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	$1,268.66	$1,409.62	$1,409.62	nat. median $144 outlier · 9.8×
81180 HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	$1,268.66	$1,409.62	$1,409.62	nat. median $144 outlier · 9.8×
81178 HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	$1,268.66	$1,409.62	$1,409.62	nat. median $144 outlier · 9.8×
81182 HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	$1,268.66	$1,409.62	$1,409.62	nat. median $144 outlier · 9.8×
0202U OTHER	Respiratory Pathogen Panel (viral)	3	$1,091.81	$1,213.12	$1,213.12	nat. median $500 outlier · 2.4×
27535 HCPCS	Tx Proximal Tibia ER	6	$807.49	$6,264.95	$1,137.78	nat. median $5,195 outlier · 0.2×
59409 HCPCS	Vaginal Delivfacility	8	$719.45	$2,623.21	$1,034.84	nat. median $3,148 outlier · 0.3×
80301 HCPCS	Amikacin Par	3	$820.35	$911.50	$911.50	nat. median $64 outlier · 14.4×
81226 HCPCS	Cyp2d6 Gene Analysis	5	$405.82	$912.00	$820.80	nat. median $471 1.7× median
81225 HCPCS	Cypc19 Par	5	$262.22	$869.00	$782.10	nat. median $319 outlier · 2.5×
23660 HCPCS	Dis Shoulder	8	$529.43	$5,715.97	$704.54	nat. median $6,841 outlier · 0.1×
45330 HCPCS	Endoscopy	8	$50.79	$793.65	$704.51	nat. median $1,083 0.7× median
M0243 HCPCS	Regencov Admin	3	$607.50	$675.00	$675.00	nat. median $542 1.2× median
27784 HCPCS	Fx Tib Fib Open ER	8	$410.40	$5,715.97	$640.90	nat. median $6,849 outlier · 0.1×
85305 HCPCS	Protein S Deficiency Profile	5	$10.45	$858.38	$606.38	nat. median $27 outlier · 22.4×
80145 HCPCS	Adalimumab With Antibody	5	$34.71	$634.50	$571.05	nat. median $83 outlier · 6.9×
80230 HCPCS	Infliximab And AntiInfliximab Antibody	5	$34.71	$634.50	$571.05	nat. median $82 outlier · 7.0×
81270 HCPCS	Jak2v617f Mutation Analysis, Qualitative	5	$82.49	$630.00	$567.00	nat. median $202 outlier · 2.8×
81404 HCPCS	Von Hippellindau Disease	3	$495.00	$550.00	$550.00	nat. median $349 1.6× median
85306 HCPCS	Protein S Deficiency Profile	5	$13.79	$858.38	$545.74	nat. median $41 outlier · 13.3×
78452 HCPCS	Myocardial Perfusion IMG,Represents The Technical Component (personnel, Equipmen…	8	$258.03	$1,044.56	$537.89	nat. median $1,822 outlier · 0.3×
85705 HCPCS	Lupus Anticoagulation Comprehensive	5	$8.67	$569.50	$512.55	nat. median $14 outlier · 36.5×
85732 HCPCS	Lupus Anticoagulation Comprehensive	5	$5.82	$569.50	$512.55	nat. median $22 outlier · 23.4×
G0483 HCPCS	Drug Screen 22+	5	$222.23	$635.00	$493.50	nat. median $259 1.9× median
J0248 HCPCS	Remdesivir 100mg Injection	5	$4.68	$1,050.00	$472.50	nat. median $516 0.9× median
M0239 HCPCS	Bamlanivimab 700mg/20ml Infusion Admin	3	$417.96	$464.40	$464.40	nat. median $435 1.1× median
P9035 HCPCS	Platelet Pheres Leukoredu	5	$371.19	$512.00	$460.80	nat. median $804 0.6× median
87563 HCPCS	Chlamydia/Gonococcus/Mycoplasma Genitali	5	$31.58	$500.07	$450.06	nat. median $52 outlier · 8.7×
70552 HCPCS	Pro Fee MRI Brain W/cont	8	$235.31	$800.00	$450.00	nat. median $965 outlier · 0.5×
89619 HCPCS	Inflammatory Bowel Disease (ibd) Profile	3	$403.29	$448.10	$448.10	nat. median $448 1.0× median
87529 HCPCS	Herpes Simplex Virus (hsv) Types 1/2, Dn	5	$31.58	$488.25	$439.43	nat. median $79 outlier · 5.6×
27500 HCPCS	Fx Femoral Shaft Clsd ER	8	$182.80	$609.03	$435.69	nat. median $580 0.8× median
27230 HCPCS	Fx Femoral Clsd ER	8	$182.80	$602.72	$433.06	nat. median $547 0.8× median
85303 HCPCS	Protein C Deficiency Profile	5	$12.46	$478.02	$430.22	nat. median $35 outlier · 12.3×
27550 HCPCS	Disclocation Of Patella ER	8	$182.80	$617.40	$428.75	nat. median $517 0.8× median
93306 HCPCS	US Echocardiogram	8	$166.92	$965.78	$428.26	nat. median $993 outlier · 0.4×
76825 HCPCS	Obnon Stress Test	8	$219.18	$596.00	$428.26	nat. median $625 0.7× median
86335 HCPCS	Ife & Protein Electrophoresis Urine Rand	5	$26.42	$474.87	$427.38	nat. median $65 outlier · 6.6×
21450 HCPCS	Mandible Fx Clsd ER	8	$388.07	$612.55	$415.01	nat. median $869 outlier · 0.5×
31603 HCPCS	Tracheostomy Transtrache	8	$287.96	$1,352.79	$412.55	nat. median $1,664 outlier · 0.2×
84145 HCPCS	Procalcitonin	3	$369.97	$411.07	$411.07	nat. median $70 outlier · 5.8×
81400 HCPCS	Cmp Par	3	$54.27	$843.50	$409.73	nat. median $112 outlier · 3.7×
87496 HCPCS	Cmv Quant DNA Pcr Plasma	5	$31.58	$455.00	$409.50	nat. median $82 outlier · 5.0×

Other procedures at this hospital

Browse this hospital's 1,212 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J3101	HCPCS	Tenecteplase (TNKase) Inj 50mg	5	5	$16,851.00	$13,480.80 20% off	$162.43	$8,425.50	$7,582.95	2026-05-19
J2997	HCPCS	Alteplase (activase) 100mg IV	8	5	$18,500.00	$14,800.00 20% off	$91.48	$9,250.00	$4,625.00	2026-05-19
87536	HCPCS	Viral Load	5	5	$7,281.75	$5,825.40 20% off	$76.59	$3,640.88	$3,276.79	2026-05-19
J3590	HCPCS	Romosozumabaqqg 210mg/2.34 Ml Sq Inj	3	3	$5,600.00	$4,480.00 20% off	$2,520.00	$2,800.00	$2,800.00	2026-05-19
J0897	HCPCS	Denosumab (prolia) 60mg/ml Inj	8	5	$3,000.00	$2,400.00 20% off	$27.66	$1,700.00	$1,500.00	2026-05-19
81184	HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	3	$2,819.25	$2,255.40	$1,268.66	$1,409.62	$1,409.62	2026-05-19
81178	HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	3	$2,819.25	$2,255.40	$1,268.66	$1,409.62	$1,409.62	2026-05-19
81182	HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	3	$2,819.25	$2,255.40	$1,268.66	$1,409.62	$1,409.62	2026-05-19
81179	HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	3	$2,819.25	$2,255.40	$1,268.66	$1,409.62	$1,409.62	2026-05-19
81180	HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	3	$2,819.25	$2,255.40	$1,268.66	$1,409.62	$1,409.62	2026-05-19
81181	HCPCS	Zzzzzzzzzzzzzzzzzzzcomprehensive Spinoce	3	3	$2,819.25	$2,255.40	$1,268.66	$1,409.62	$1,409.62	2026-05-19
0202U	OTHER	Respiratory Pathogen Panel (viral)	3	3	$2,426.25	$1,941.00 20% off	$1,091.81	$1,213.12	$1,213.12	2026-05-19
27535	HCPCS	Tx Proximal Tibia ER	9	6	$12,529.90	$10,023.92 20% off	$807.49	$6,264.95	$1,137.78	2026-05-19
59409	HCPCS	Vaginal Delivfacility	11	8	$5,246.42	$4,197.14	$719.45	$2,623.21	$1,034.84	2026-05-19
80301	HCPCS	Amikacin Par	3	3	$1,823.00	$1,458.40	$820.35	$911.50	$911.50	2026-05-19
81226	HCPCS	Cyp2d6 Gene Analysis	5	5	$1,824.00	$1,459.20 20% off	$405.82	$912.00	$820.80	2026-05-19
81225	HCPCS	Cypc19 Par	5	5	$1,738.00	$1,390.40	$262.22	$869.00	$782.10	2026-05-19
23660	HCPCS	Dis Shoulder	8	8	$1,483.23	$1,186.58 20% off	$529.43	$5,715.97	$704.54	2026-05-19
45330	HCPCS	Endoscopy	8	8	$1,587.30	$1,269.84 20% off	$50.79	$793.65	$704.51	2026-05-19
M0243	HCPCS	Regencov Admin	3	3	$1,350.00	$1,080.00 20% off	$607.50	$675.00	$675.00	2026-05-19
27784	HCPCS	Fx Tib Fib Open ER	8	8	$912.00	$729.60 20% off	$410.40	$5,715.97	$640.90	2026-05-19
85305	HCPCS	Protein S Deficiency Profile	8	5	$1,716.75	$1,373.40	$10.45	$858.38	$606.38	2026-05-19
80145	HCPCS	Adalimumab With Antibody	5	5	$1,269.00	$1,015.20	$34.71	$634.50	$571.05	2026-05-19
80230	HCPCS	Infliximab And AntiInfliximab Antibody	5	5	$1,269.00	$1,015.20	$34.71	$634.50	$571.05	2026-05-19
81270	HCPCS	Jak2v617f Mutation Analysis, Qualitative	5	5	$1,260.00	$1,008.00 20% off	$82.49	$630.00	$567.00	2026-05-19
81404	HCPCS	Von Hippellindau Disease	3	3	$1,100.00	$880.00 20% off	$495.00	$550.00	$550.00	2026-05-19
85306	HCPCS	Protein S Deficiency Profile	11	5	$1,212.75	$970.20	$13.79	$858.38	$545.74	2026-05-19
78452	HCPCS	Myocardial Perfusion IMG,Represents The Technical Component (personnel, Equipmen…	8	8	$1,600.00	$1,280.00 20% off	$258.03	$1,044.56	$537.89	2026-05-19
85732	HCPCS	Lupus Anticoagulation Comprehensive	5	5	$1,139.00	$911.20	$5.82	$569.50	$512.55	2026-05-19
85705	HCPCS	Lupus Anticoagulation Comprehensive	5	5	$1,139.00	$911.20	$8.67	$569.50	$512.55	2026-05-19
G0483	HCPCS	Drug Screen 22+	8	5	$987.00	$789.60 20% off	$222.23	$635.00	$493.50	2026-05-19
J0248	HCPCS	Remdesivir 100mg Injection	11	5	$1,050.00	$840.00 20% off	$4.68	$1,050.00	$472.50	2026-05-19
M0239	HCPCS	Bamlanivimab 700mg/20ml Infusion Admin	3	3	$928.80	$743.04 20% off	$417.96	$464.40	$464.40	2026-05-19
P9035	HCPCS	Platelet Pheres Leukoredu	5	5	$1,024.00	$819.20	$371.19	$512.00	$460.80	2026-05-19
87563	HCPCS	Chlamydia/Gonococcus/Mycoplasma Genitali	5	5	$1,000.14	$800.11 20% off	$31.58	$500.07	$450.06	2026-05-19
70552	HCPCS	Pro Fee MRI Brain W/cont	14	8	$1,000.00	$800.00 20% off	$235.31	$800.00	$450.00	2026-05-19
89619	HCPCS	Inflammatory Bowel Disease (ibd) Profile	3	3	$896.19	$716.95 20% off	$403.29	$448.10	$448.10	2026-05-19
87529	HCPCS	Herpes Simplex Virus (hsv) Types 1/2, Dn	5	5	$976.50	$781.20	$31.58	$488.25	$439.43	2026-05-19
27500	HCPCS	Fx Femoral Shaft Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$609.03	$435.69	2026-05-19
27230	HCPCS	Fx Femoral Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$602.72	$433.06	2026-05-19
85303	HCPCS	Protein C Deficiency Profile	5	5	$956.04	$764.83 20% off	$12.46	$478.02	$430.22	2026-05-19
27550	HCPCS	Disclocation Of Patella ER	11	8	$412.38	$329.90 20% off	$182.80	$617.40	$428.75	2026-05-19
93306	HCPCS	US Echocardiogram	14	8	$600.00	$480.00 20% off	$166.92	$965.78	$428.26	2026-05-19
76825	HCPCS	Obnon Stress Test	8	8	$1,192.00	$953.60 20% off	$219.18	$596.00	$428.26	2026-05-19
86335	HCPCS	Ife & Protein Electrophoresis Urine Rand	5	5	$949.74	$759.79 20% off	$26.42	$474.87	$427.38	2026-05-19
21450	HCPCS	Mandible Fx Clsd ER	11	8	$904.72	$723.78	$388.07	$612.55	$415.01	2026-05-19
31603	HCPCS	Tracheostomy Transtrache	11	8	$2,705.58	$2,164.46 20% off	$287.96	$1,352.79	$412.55	2026-05-19
84145	HCPCS	Procalcitonin	3	3	$822.15	$657.72	$369.97	$411.07	$411.07	2026-05-19
81400	HCPCS	Cmp Par	6	3	$903.80	$723.04 20% off	$54.27	$843.50	$409.73	2026-05-19
87496	HCPCS	Cmv Quant DNA Pcr Plasma	5	5	$910.00	$728.00 20% off	$31.58	$455.00	$409.50	2026-05-19
25660	HCPCS	Clsd Intercarpal Dscl ER	11	8	$412.38	$329.90 20% off	$182.80	$564.90	$409.08	2026-05-19
73221	HCPCS	Pro Fee MRI Up Ext Jnt Wo	11	8	$900.00	$720.00 20% off	$177.09	$600.00	$405.00	2026-05-19
86671	HCPCS	Inflammatory Bowel Disease (ibd) Profile	5	5	$896.19	$716.95 20% off	$11.03	$448.10	$403.29	2026-05-19
71552	HCPCS	MRI Chest W & Without	16	8	$1,162.50	$930.00 20% off	$88.79	$1,000.00	$402.80	2026-05-19
87632	HCPCS	.............respiratory Panel Med Arbor	3	3	$800.00	$640.00 20% off	$360.00	$400.00	$400.00	2026-05-19
12046	HCPCS	Inter Rep 20.1/30.0 Cm ER	11	8	$1,048.34	$838.67 20% off	$283.27	$524.17	$399.76	2026-05-19
G0482	HCPCS	Drug Screen 1521	8	5	$795.00	$636.00 20% off	$178.87	$511.00	$397.50	2026-05-19
87633	HCPCS	.............respiratory Panel Med Arbor	5	5	$800.00	$640.00 20% off	$360.00	$400.00	$393.86	2026-05-19
87510	HCPCS	Vaginitis/vaginosis, DNA Probe	5	5	$869.00	$695.20	$18.05	$434.50	$391.05	2026-05-19
87480	HCPCS	Vaginitis/vaginosis, DNA Probe	5	5	$869.00	$695.20	$18.05	$434.50	$391.05	2026-05-19
87660	HCPCS	Vaginitis/vaginosis, DNA Probe	5	5	$869.00	$695.20	$18.05	$434.50	$391.05	2026-05-19
81401	HCPCS	Mopath Proc	3	3	$750.00	$600.00 20% off	$337.50	$375.00	$375.00	2026-05-19
27220	HCPCS	Treat Hip Socket Fracture	11	8	$412.38	$329.90 20% off	$182.80	$522.33	$374.12	2026-05-19
88309	HCPCS	Histopathology	8	8	$275.00	$220.00 20% off	$123.75	$653.64	$367.05	2026-05-19
A0429	HCPCS	Ambulance Emerg Mscan	3	3	$722.40	$577.92 20% off	$325.08	$361.20	$361.20	2026-05-19
A0427	HCPCS	Amb Life Support Lvl 1 Als1	3	3	$722.40	$577.92 20% off	$325.08	$361.20	$361.20	2026-05-19
A0433	HCPCS	Amb Life Support Lvl 2 Als2	3	3	$722.40	$577.92 20% off	$325.08	$361.20	$361.20	2026-05-19
A0434	HCPCS	Amb Spec Care Trans Sct	3	3	$722.40	$577.92 20% off	$325.08	$361.20	$361.20	2026-05-19
86037	HCPCS	Anca	6	3	$765.06	$612.05 20% off	$285.27	$448.10	$360.12	2026-05-19
87181	HCPCS	Zzzzzzzzzzzzzzzzzwound Culture Med Arbor	5	5	$800.00	$640.00 20% off	$4.28	$400.00	$360.00	2026-05-19
87110	HCPCS	Women's Health Med Arbor	5	5	$800.00	$640.00 20% off	$17.64	$400.00	$360.00	2026-05-19
87185	HCPCS	Zzzzzzzzzzzzzzzzzwound Culture Med Arbor	5	5	$800.00	$640.00 20% off	$4.28	$400.00	$360.00	2026-05-19
43760	HCPCS	Gastrostomy Tube Rep ER	6	3	$760.00	$608.00 20% off	$292.50	$435.00	$358.25	2026-05-19
74176	HCPCS	CT Cap Without	22	8	$1,516.00	$1,212.80 20% off	$68.07	$1,180.25	$357.68	2026-05-19
12036	HCPCS	Int/rep Extm 20.1/30.0 ER	11	8	$1,048.34	$838.67 20% off	$253.27	$524.17	$357.42	2026-05-19
26641	HCPCS	Dislocat Metacarpal Tx ER	11	8	$412.38	$329.90 20% off	$182.80	$481.88	$349.58	2026-05-19
81291	HCPCS	Mtrh Gene	3	3	$698.00	$558.40 20% off	$314.10	$349.00	$349.00	2026-05-19
80415	HCPCS	Estradiol Response Par	5	5	$761.00	$608.80 20% off	$50.30	$380.50	$342.45	2026-05-19
12045	HCPCS	Inter Rep 12.620.0 Cm ER	11	8	$1,048.34	$838.67 20% off	$242.97	$524.17	$341.76	2026-05-19
87902	HCPCS	Hcv Genotype Nonreflex	8	5	$969.00	$775.20	$231.71	$484.50	$338.00	2026-05-19
73223	HCPCS	MRI Upper Extrem(joint)	19	8	$1,200.00	$960.00 20% off	$84.62	$1,000.00	$332.33	2026-05-19
78227	HCPCS	Pro Fee Hepatobiliar Hida	8	8	$550.00	$440.00 20% off	$247.50	$430.69	$325.93	2026-05-19
86431	HCPCS	Rheumatoid Factor Isotypes IgG IgA IgM	5	5	$720.00	$576.00 20% off	$5.10	$360.00	$324.00	2026-05-19
86360	HCPCS	Cd4:cd8 Ratio Profile	5	5	$714.75	$571.80 20% off	$42.28	$357.38	$321.64	2026-05-19
23030	HCPCS	I&d Shoulder Deep Abs/hem	11	8	$4,740.02	$3,792.02	$229.70	$2,370.01	$321.06	2026-05-19
71551	HCPCS	MRI Chest With Contr	16	8	$925.00	$740.00 20% off	$67.53	$800.00	$320.78	2026-05-19
81227	HCPCS	Cyd2c9 Gene Analysis	5	5	$710.00	$568.00 20% off	$157.33	$355.00	$319.50	2026-05-19
24600	HCPCS	Dislocation Intercarpel ER	11	8	$412.38	$329.90 20% off	$182.80	$432.44	$315.59	2026-05-19
G0481	HCPCS	Drug Screen 814	8	5	$626.00	$500.80 20% off	$140.93	$402.50	$313.00	2026-05-19
13101	HCPCS	Com/rep Extm 2.6/7.5 Cm ER	11	8	$1,048.34	$838.67 20% off	$219.53	$524.17	$312.42	2026-05-19
27560	HCPCS	Patella Disloc Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$438.05	$312.03	2026-05-19
87301	HCPCS	Adenovirus & Rotavirus	5	5	$690.00	$552.00 20% off	$10.78	$345.00	$310.50	2026-05-19
24500	HCPCS	Fracture Humerus ER	11	8	$412.38	$329.90 20% off	$182.80	$420.11	$305.81	2026-05-19
28192	HCPCS	F/b Foot Compl Deep Md	11	8	$610.00	$488.00 20% off	$274.50	$1,407.00	$305.00	2026-05-19
81241	HCPCS	F5 Gene	5	5	$675.00	$540.00 20% off	$66.03	$337.50	$303.75	2026-05-19
12035	HCPCS	Interm Rep 12.620 ER	11	8	$691.68	$553.34 20% off	$216.23	$345.84	$303.70	2026-05-19
23520	HCPCS	Dislocation Clavicle ER	11	8	$2,784.70	$2,227.76	$219.63	$1,392.35	$300.06	2026-05-19
70549	HCPCS	MRA Carotids W & Without	16	8	$1,162.50	$930.00 20% off	$70.31	$1,000.00	$298.21	2026-05-19
25600	HCPCS	Radial Fxclsd ER	11	8	$412.38	$329.90 20% off	$182.80	$405.42	$296.53	2026-05-19
27750	HCPCS	Tibial Shaft Fx Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$407.28	$294.92	2026-05-19
70543	HCPCS	MRI Face/orbits/neck W/wo	22	8	$1,350.00	$1,080.00 20% off	$84.38	$1,000.00	$294.02	2026-05-19
74183	HCPCS	MRI Abdomen W & Without	16	8	$1,162.50	$930.00 20% off	$86.33	$1,000.00	$293.43	2026-05-19
84591	HCPCS	Vitamin B7	5	5	$652.05	$521.64	$15.35	$326.02	$293.42	2026-05-19
74178	HCPCS	CT Cap W/wo	16	8	$1,742.75	$1,394.20 20% off	$78.61	$1,305.25	$292.85	2026-05-19
73720	HCPCS	MRI Lower Ext(joint)w/wo	16	8	$1,162.50	$930.00 20% off	$84.62	$1,000.00	$292.37	2026-05-19
72197	HCPCS	MRI Pelvis W & Without	16	8	$1,162.50	$930.00 20% off	$86.33	$1,000.00	$292.33	2026-05-19
86611	HCPCS	Bartonella Antibody Profile	5	5	$648.00	$518.40 20% off	$9.16	$324.00	$291.60	2026-05-19
73725	HCPCS	MRA Lower Extremity W/wo	16	8	$1,162.50	$930.00 20% off	$70.60	$1,000.00	$290.81	2026-05-19
A0428	HCPCS	Ambulance Non Emmscan	3	3	$577.50	$462.00 20% off	$259.88	$288.75	$288.75	2026-05-19
86008	HCPCS	Alphagal IgE Panel	3	3	$577.35	$461.88 20% off	$259.81	$288.68	$288.68	2026-05-19
13121	HCPCS	Comp Repair 2.6/7.5 Cm ER	11	8	$576.00	$460.80 20% off	$231.40	$489.78	$288.00	2026-05-19
J3489	HCPCS	Zoledronic Acid (reclast) 5mg/100ml Inj	3	3	$575.00	$460.00 20% off	$258.75	$287.50	$287.50	2026-05-19
40831	HCPCS	Lac Floor/mouth 2/3 Tongu ER	11	8	$904.72	$723.78	$181.00	$452.36	$287.44	2026-05-19
70553	HCPCS	Pro Fee MRI Brain W/WO,Professional Component Only (separate From Technical Comp…	19	8	$1,100.00	$880.00 20% off	$89.91	$1,000.00	$285.76	2026-05-19
70546	HCPCS	MRA Head W & Without	16	8	$1,162.50	$930.00 20% off	$57.80	$1,000.00	$283.48	2026-05-19
27760	HCPCS	Fx Distal Tibia Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$389.79	$282.22	2026-05-19
99291	HCPCS	Critical Care 1st 3074 Min Md	11	8	$1,385.36	$1,108.29	$195.62	$692.68	$281.37	2026-05-19
72157	HCPCS	MRI Tspine W & Without	16	8	$1,162.50	$930.00 20% off	$90.16	$1,000.00	$279.51	2026-05-19
27808	HCPCS	Fx Ankle Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$386.75	$279.43	2026-05-19
72156	HCPCS	MRI Cspine W & Without	16	8	$1,162.50	$930.00 20% off	$90.16	$1,000.00	$278.95	2026-05-19
72158	HCPCS	MRI Lspine W & Without	19	8	$1,200.00	$960.00 20% off	$90.16	$1,000.00	$278.40	2026-05-19
12054	HCPCS	Rep Int Face 7.6/12.5 Cm	11	8	$691.68	$553.34 20% off	$198.09	$345.84	$277.19	2026-05-19
27520	HCPCS	Fx Patellar Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$379.67	$275.56	2026-05-19
23930	HCPCS	I&d Up Arm/elbo Abcess ER	11	8	$4,740.02	$3,792.02	$194.77	$2,370.01	$273.21	2026-05-19
26605	HCPCS	Metacarpal Frac W/manpul	11	8	$412.38	$329.90 20% off	$182.80	$375.19	$272.21	2026-05-19
24560	HCPCS	Treat Humerus Fracture	11	8	$412.38	$329.90 20% off	$182.80	$373.69	$270.04	2026-05-19
80179	HCPCS	Drug Screen Blood Lab Corp	5	5	$600.00	$480.00 20% off	$16.78	$300.00	$270.00	2026-05-19
83993	HCPCS	Fecal Calprotectin	5	5	$600.00	$480.00 20% off	$17.67	$300.00	$270.00	2026-05-19
71550	HCPCS	MRI Chest (MEDISTINUM)without	16	8	$725.00	$580.00 20% off	$57.21	$600.00	$269.63	2026-05-19
27816	HCPCS	Trimalleolar Fx Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$371.00	$269.37	2026-05-19
12044	HCPCS	Inter Repair 7.6 To 12.5 ER	11	8	$1,048.34	$838.67 20% off	$192.83	$524.17	$268.77	2026-05-19
86161	HCPCS	Complement C1 Esterase Inhibitor Functio	5	5	$595.35	$476.28 20% off	$10.80	$297.68	$267.91	2026-05-19
74177	HCPCS	CT Abd/pelvis W/CONTRAST,Represents The Technical Component (personnel, Equipmen…	24	8	$2,057.50	$1,646.00 20% off	$71.59	$1,180.25	$266.90	2026-05-19
26600	HCPCS	Fx Metacarpal Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$359.73	$263.26	2026-05-19
27786	HCPCS	Fx Fib Closed ER	11	8	$412.38	$329.90 20% off	$182.80	$365.24	$261.88	2026-05-19
74182	HCPCS	MRI Abdomen With Contr	16	8	$962.50	$770.00 20% off	$67.53	$800.00	$261.25	2026-05-19
27780	HCPCS	Fracture Fibproximal	11	8	$412.38	$329.90 20% off	$182.80	$359.77	$260.91	2026-05-19
73218	HCPCS	MRI Upper Extr (no Joint)	16	8	$725.00	$580.00 20% off	$53.05	$600.00	$258.66	2026-05-19
82626	HCPCS	Dhea (dehydroepiandrosterone)	5	5	$572.52	$458.02	$22.74	$286.26	$257.63	2026-05-19
12034	HCPCS	Rep Sim Face 7.6/12.5cm ER	11	8	$691.68	$553.34 20% off	$183.75	$345.84	$257.32	2026-05-19
75635	HCPCS	CTA Run Offs	16	8	$925.00	$740.00 20% off	$92.86	$750.00	$254.71	2026-05-19
93975	HCPCS	Renal Arterial	11	8	$600.00	$480.00 20% off	$184.20	$300.00	$254.25	2026-05-19
J2785	HCPCS	Lexiscan	6	3	$550.00	$440.00 20% off	$99.00	$440.00	$253.00	2026-05-19
13100	HCPCS	Comp Extm 1.1/2.5 Cm ER	11	8	$1,048.34	$838.67 20% off	$179.76	$524.17	$252.51	2026-05-19
64635	HCPCS	Lumbar Radiofrequency Ablation + Md	8	8	$530.00	$424.00 20% off	$174.12	$1,562.48	$251.75	2026-05-19
82308	HCPCS	Calcitonin	5	5	$552.84	$442.27 20% off	$24.11	$276.42	$248.78	2026-05-19
84597	HCPCS	Vitamin K	5	5	$551.00	$440.80 20% off	$12.35	$275.50	$247.95	2026-05-19
24670	HCPCS	Treat Ulnar Fracture	11	8	$412.38	$329.90 20% off	$182.80	$338.20	$245.69	2026-05-19
12042	HCPCS	Inter Rep 2.65.0 Cm ER	11	8	$691.68	$553.34 20% off	$175.33	$345.84	$244.89	2026-05-19
88307	HCPCS	Histopathology	8	8	$275.00	$220.00 20% off	$123.75	$287.83	$244.43	2026-05-19
93017	HCPCS	Nm Tracing Only Without Inter	8	8	$696.00	$556.80 20% off	$31.64	$348.00	$243.22	2026-05-19
G0379	HCPCS	Obs Direct From HOME/CLINIC,Significant, Separately Identifiable Evaluation And …	3	3	$486.20	$388.96 20% off	$218.79	$243.10	$243.10	2026-05-19
81256	HCPCS	Hemochromatosis Hereditary DNA	14	5	$480.00	$384.00 20% off	$58.82	$275.00	$240.00	2026-05-19
72142	HCPCS	MRI Cspine With Contr	16	8	$962.50	$770.00 20% off	$70.43	$800.00	$239.11	2026-05-19
25560	HCPCS	Radial/ulnar Fx Clsd ER	11	8	$412.38	$329.90 20% off	$182.80	$326.85	$238.65	2026-05-19
92950	HCPCS	Cpr ER	11	8	$528.90	$423.12	$167.71	$264.45	$238.00	2026-05-19
25500	HCPCS	Treat Fracture Of Radius	11	8	$412.38	$329.90 20% off	$182.80	$325.35	$237.63	2026-05-19
12053	HCPCS	Interm Rep 7.612.5 ER	11	8	$475.00	$380.00 20% off	$192.98	$319.68	$237.50	2026-05-19
72147	HCPCS	MRI Tspine With Contr	16	8	$925.00	$740.00 20% off	$69.73	$800.00	$236.69	2026-05-19
12032	HCPCS	Interm Rep 5.17.5 ER	11	8	$691.68	$553.34 20% off	$169.74	$345.84	$236.35	2026-05-19
84252	HCPCS	Vitamin B2	5	5	$523.00	$418.40 20% off	$18.22	$261.50	$235.35	2026-05-19
72149	HCPCS	MRI Lspine With Contr	16	8	$962.50	$770.00 20% off	$70.17	$800.00	$234.98	2026-05-19
10121	HCPCS	Fbrcomplicated ER	11	8	$2,814.00	$2,251.20 20% off	$165.01	$1,407.00	$234.12	2026-05-19
72196	HCPCS	MRI Pelvis With Contr	16	8	$962.50	$770.00 20% off	$67.53	$800.00	$233.14	2026-05-19
71275	HCPCS	CTA Angiography Chest	16	8	$787.50	$630.00 20% off	$71.34	$650.00	$231.04	2026-05-19
10061	HCPCS	I&d Multi/complex ER	11	8	$691.68	$553.34 20% off	$164.14	$345.84	$230.72	2026-05-19
74175	HCPCS	CTA Renal Arteries	16	8	$800.00	$640.00 20% off	$71.09	$662.50	$230.51	2026-05-19
99285	HCPCS	Ed Visit High Complex (5),Significant, Separately Identifiable Evaluation And Ma…	16	8	$752.01	$601.61 20% off	$161.84	$522.12	$229.89	2026-05-19
70496	HCPCS	CTA BRAIN,Represents The Technical Component (personnel, Equipment, Facilities) …	24	8	$1,500.00	$1,200.00 20% off	$68.36	$812.50	$227.73	2026-05-19
70498	HCPCS	CTA CAROTIDS,Represents The Technical Component (personnel, Equipment, Facilitie…	16	8	$875.00	$700.00 20% off	$68.36	$750.00	$227.73	2026-05-19
M0245	HCPCS	Bamlan And Etesev Infusion Admin	3	3	$450.00	$360.00 20% off	$202.50	$225.00	$225.00	2026-05-19
25530	HCPCS	Ulnar Shaft Fxclsd ER	11	8	$412.38	$329.90 20% off	$182.80	$305.19	$223.94	2026-05-19
84166	HCPCS	Ife & Protein Electrophoresis Urine Rand	6	3	$494.87	$395.89 20% off	$18.00	$474.87	$223.69	2026-05-19
84143	HCPCS	17hydroxypregnenolone, Mass Spectrometr	3	3	$441.00	$352.80 20% off	$198.45	$220.50	$220.50	2026-05-19
J2248	HCPCS	Micafungin (mycamine) 100mg Injection	3	3	$439.00	$351.20 20% off	$197.55	$219.50	$219.50	2026-05-19
36430	HCPCS	Plasma Administration	8	8	$455.00	$364.00 20% off	$35.47	$349.81	$216.12	2026-05-19
87517	HCPCS	Hbv Quantitative DNA Pcr	11	5	$478.00	$382.40 20% off	$38.56	$300.00	$215.10	2026-05-19
A9500	HCPCS	Sestamibi	3	3	$430.00	$344.00 20% off	$193.50	$215.00	$215.00	2026-05-19
86316	HCPCS	Chromogranin A	5	5	$476.00	$380.80 20% off	$18.73	$238.00	$214.20	2026-05-19
81355	HCPCS	Vkorci Gene	8	5	$428.00	$342.40 20% off	$79.38	$305.00	$214.00	2026-05-19
70548	HCPCS	MRA Carotids With Cont	16	8	$962.50	$770.00 20% off	$58.63	$800.00	$213.60	2026-05-19
74170	HCPCS	Pro Fee Abdom Without & W CON,Professional Component Only (separate From Technical C…	16	8	$854.00	$683.20	$54.50	$643.00	$212.08	2026-05-19
23500	HCPCS	Treat Of Closed Fxclav	11	8	$412.38	$329.90 20% off	$182.80	$286.85	$210.49	2026-05-19
23330	HCPCS	F/b Rem Shoulder ER	11	8	$1,243.94	$995.15 20% off	$150.24	$1,296.41	$209.49	2026-05-19
99223	HCPCS	Acute & Obs Initial Md 75 Min	6	6	$575.28	$460.22 20% off	$158.48	$287.64	$208.68	2026-05-19
92523	HCPCS	St Cognitive Skills DEV,Services Delivered Under An Outpatient Speech Language P…	8	8	$553.00	$442.40 20% off	$187.70	$276.50	$208.55	2026-05-19
72132	HCPCS	CT Lumbar Spine With contrast,Represents The Technical Component (personnel, Equipment, …	8	8	$595.00	$476.00 20% off	$85.28	$297.50	$207.67	2026-05-19
24650	HCPCS	Radial Head Fxclsed ER	14	8	$412.38	$329.90 20% off	$166.95	$309.09	$206.19	2026-05-19
23650	HCPCS	Dislocation Shoulder ER	8	8	$412.38	$329.90 20% off	$182.80	$277.03	$206.19	2026-05-19
23620	HCPCS	Humerus Fx Clsd ER	8	8	$412.38	$329.90 20% off	$182.80	$238.21	$206.19	2026-05-19
27246	HCPCS	Treat Thigh Fracture	8	8	$412.38	$329.90 20% off	$182.80	$352.27	$206.19	2026-05-19
21400	HCPCS	Treat Eye Socket Fracture	11	8	$904.72	$723.78	$151.38	$452.36	$204.59	2026-05-19
72194	HCPCS	CT Pelvis W&without CONTRAST,Represents The Technical Component (personnel, Equipmen…	16	8	$888.75	$711.00 20% off	$47.55	$662.25	$204.35	2026-05-19
73202	HCPCS	CT Up Extremity W&without Contrast	16	8	$731.00	$584.80 20% off	$47.30	$397.50	$204.33	2026-05-19
87799	HCPCS	Bk Virus Quantitation DNA Pcr	11	5	$450.00	$360.00 20% off	$38.56	$544.50	$202.50	2026-05-19
P9073	HCPCS	Platelets Transfusion (prt)	3	3	$403.50	$322.80 20% off	$181.57	$201.75	$201.75	2026-05-19
32551	HCPCS	Chest Tube Insertion Md	14	8	$400.00	$320.00 20% off	$140.16	$1,406.14	$200.45	2026-05-19
P9021	HCPCS	Blood Transfusion Inpt	8	5	$794.12	$635.30	$109.98	$397.06	$200.00	2026-05-19
0732	RC	—	3	3	$400.00	$320.00 20% off	$180.00	$200.00	$200.00	2026-05-19
74160	HCPCS	Pro Fee Abdom W/CONTRAST,Professional Component Only (separate From Technical Co…	16	8	$724.25	$579.40	$49.73	$525.75	$199.33	2026-05-19
93925	HCPCS	Arterial Duplex Scan	33	8	$310.00	$248.00 20% off	$89.45	$460.26	$198.68	2026-05-19
85598	HCPCS	Hexagonal Phase Phospholipid (hpp)	5	5	$441.00	$352.80 20% off	$16.18	$220.50	$198.45	2026-05-19
72195	HCPCS	MRI Pelvis Without	16	8	$725.00	$580.00 20% off	$57.21	$600.00	$198.01	2026-05-19
41250	HCPCS	Lac 1/3 Tongue Less 2.5cm ER	11	8	$540.44	$432.35 20% off	$137.30	$319.28	$196.81	2026-05-19
70545	HCPCS	MRA Head With Contr	16	8	$962.50	$770.00 20% off	$46.72	$800.00	$196.51	2026-05-19
70540	HCPCS	MRI Face/orbits/neck Without	16	8	$762.50	$610.00 20% off	$52.55	$600.00	$195.58	2026-05-19
72193	HCPCS	CT Pelvis W Contrast	16	8	$727.00	$581.60 20% off	$45.31	$503.00	$195.52	2026-05-19
70551	HCPCS	Pro Fee MRI Brain Wo	19	8	$900.00	$720.00 20% off	$96.69	$600.00	$193.41	2026-05-19
74181	HCPCS	Pro Fee MRI Abd WO,Professional Component Only (separate From Technical Componen…	25	8	$800.00	$640.00 20% off	$56.97	$1,000.00	$193.41	2026-05-19
J1610	HCPCS	Glucagon Injection	5	5	$409.00	$327.20 20% off	$184.05	$204.50	$193.39	2026-05-19
73718	HCPCS	MRI Lower Ext(no Joint)	16	8	$725.00	$580.00 20% off	$52.79	$600.00	$192.82	2026-05-19
27200	HCPCS	Coccyoeal Fracture	11	8	$412.38	$329.90 20% off	$175.42	$236.70	$191.94	2026-05-19
26720	HCPCS	Phalanx Fx Clsd ER	11	8	$412.38	$329.90 20% off	$174.21	$236.15	$191.94	2026-05-19
41252	HCPCS	Lac Tongue/mouth Over 2.6 ER	11	8	$423.20	$338.56 20% off	$176.96	$268.25	$190.44	2026-05-19
12052	HCPCS	Interm Rep 2.65.0 ER	11	8	$380.00	$304.00 20% off	$171.00	$319.68	$190.00	2026-05-19
51700	HCPCS	Irrigation Bladder ER	8	8	$532.28	$425.82 20% off	$27.21	$266.14	$189.97	2026-05-19
99236	HCPCS	Acute & Obs Dc Same Day 85 Pf	6	6	$400.00	$320.00 20% off	$180.00	$200.00	$189.73	2026-05-19
40830	HCPCS	Lac Mouth Less 2.5 Cm ER	11	8	$423.20	$338.56 20% off	$130.78	$211.60	$188.96	2026-05-19
93978	HCPCS	Abd Aortic Aneurysm	8	8	$582.00	$465.60	$151.69	$291.00	$188.81	2026-05-19
93970	HCPCS	US Venous Lower EXT,Represents The Technical Component (personnel, Equipment, Fa…	16	8	$920.52	$736.42	$155.54	$460.26	$188.81	2026-05-19
93930	HCPCS	Arterial Upper Bilat	8	8	$582.00	$465.60	$166.13	$291.00	$188.81	2026-05-19
12031	HCPCS	Interm Rep 2.5less ER	11	8	$691.68	$553.34 20% off	$134.87	$345.84	$188.70	2026-05-19
88112	HCPCS	Urine Cytology	11	8	$418.95	$335.16	$40.72	$209.47	$188.39	2026-05-19
70547	HCPCS	MRA Carotids Without	16	8	$725.00	$580.00 20% off	$46.96	$600.00	$186.87	2026-05-19
70544	HCPCS	MRA Head Without	16	8	$725.00	$580.00 20% off	$46.72	$600.00	$186.32	2026-05-19
21820	HCPCS	Treat Sternum Fracture	11	8	$412.38	$329.90 20% off	$135.55	$206.19	$184.17	2026-05-19
12041	HCPCS	Inter Rep 2.5 Cm Or Less	11	8	$691.68	$553.34 20% off	$130.58	$345.84	$182.94	2026-05-19
31500	HCPCS	Intubation Endotrah Facil	11	8	$423.20	$338.56 20% off	$129.66	$211.60	$182.93	2026-05-19
82610	HCPCS	Cystatinc	5	5	$405.00	$324.00 20% off	$16.67	$202.50	$182.25	2026-05-19
88233	HCPCS	Tissue Cult Skin Biopsy	5	5	$404.00	$323.20 20% off	$126.66	$202.00	$181.80	2026-05-19
A9502	HCPCS	Aminophylline	3	3	$363.00	$290.40 20% off	$163.35	$181.50	$181.50	2026-05-19
41251	HCPCS	Lac Post 1/3 Tongue ER	16	8	$442.15	$353.72	$163.25	$230.55	$181.38	2026-05-19
86794	HCPCS	Zika Virus Antibody, Igm	5	5	$393.75	$315.00 20% off	$15.17	$196.88	$177.19	2026-05-19
87493	HCPCS	Clostridium Pcr	5	5	$393.75	$315.00 20% off	$33.54	$196.88	$177.19	2026-05-19
12006	HCPCS	Simple Repair >20 Cm ER	14	8	$691.68	$553.34 20% off	$106.26	$345.84	$177.18	2026-05-19
73721	HCPCS	MRI Lower Ext(joint) LT,Left Side Of Body	24	8	$1,200.00	$960.00 20% off	$53.05	$600.00	$176.81	2026-05-19
80050	HCPCS	General Health Panel Par	3	3	$350.00	$280.00 20% off	$157.50	$175.00	$175.00	2026-05-19
49082	HCPCS	Paracentesis Md Wo Img	11	8	$350.00	$280.00 20% off	$65.53	$809.60	$175.00	2026-05-19
73201	HCPCS	CT Up Extremity With Contrast	16	8	$445.00	$356.00 20% off	$45.31	$285.76	$172.92	2026-05-19
72130	HCPCS	CT T Spine W&without Contrast	8	8	$800.00	$640.00 20% off	$135.66	$400.00	$172.60	2026-05-19
70492	HCPCS	Pro Fee Neck W&without CONTRA,Professional Component Only (separate From Technical C…	8	8	$345.00	$276.00 20% off	$63.11	$192.71	$172.50	2026-05-19
73706	HCPCS	Pro Fee CT Extr Low W&W/O,Professional Component Only (separate From Technical C…	8	8	$345.00	$276.00 20% off	$73.92	$233.63	$172.50	2026-05-19
82656	HCPCS	Pancreatic Elastase Fecal	5	5	$380.00	$304.00 20% off	$10.38	$190.00	$171.00	2026-05-19
72133	HCPCS	CT Lumbar Spine W&without Contrast	8	8	$667.00	$533.60	$135.66	$333.50	$170.94	2026-05-19
71270	HCPCS	CT Chest W&without Con	16	8	$858.50	$686.80 20% off	$48.90	$643.00	$170.30	2026-05-19
86927	HCPCS	Plasma Thawfresh/frozen	5	5	$375.00	$300.00 20% off	$130.59	$187.50	$168.75	2026-05-19
80339	HCPCS	Antiepileptic Par	6	3	$363.50	$290.80 20% off	$89.55	$264.00	$168.55	2026-05-19
72148	HCPCS	MRI Lspine Without	16	8	$725.00	$580.00 20% off	$58.04	$600.00	$167.24	2026-05-19
72146	HCPCS	MRI Tspine Without	16	8	$725.00	$580.00 20% off	$58.04	$600.00	$166.96	2026-05-19
72141	HCPCS	MRI Cspine Without	16	8	$725.00	$580.00 20% off	$58.04	$600.00	$166.68	2026-05-19
99205	HCPCS	New Patient Clinic Level V	16	8	$538.38	$430.71	$148.93	$300.00	$165.48	2026-05-19
83520	HCPCS	Thyrotropin Receptor Antibody	17	5	$366.00	$292.80	$15.54	$340.50	$164.70	2026-05-19
73220	HCPCS	Pro Fee MRI Up Ext Nj WWO,Professional Component Only (separate From Technical C…	8	8	$325.00	$260.00 20% off	$84.62	$352.42	$162.50	2026-05-19
99220	HCPCS	Z(do Not Use)obs Initial 70 Min Pf	3	3	$325.00	$260.00 20% off	$146.25	$162.50	$162.50	2026-05-19
86870	HCPCS	Antibody Idmbs	5	5	$325.00	$260.00 20% off	$146.25	$287.83	$162.50	2026-05-19
87800	HCPCS	DNA RNA Par	5	5	$361.00	$288.80	$39.30	$180.50	$162.45	2026-05-19
70491	HCPCS	CT Neck With And Without Contrast	19	8	$957.00	$765.60 20% off	$53.92	$600.00	$160.72	2026-05-19
88262	HCPCS	Chromosome Analysis 1520	5	5	$357.00	$285.60	$112.94	$178.50	$160.65	2026-05-19
70488	HCPCS	CT Maxillo Facial W&without	16	8	$512.50	$410.00 20% off	$49.47	$337.50	$160.19	2026-05-19
56405	HCPCS	I&d Vulva/perineal Abs ER	11	8	$562.96	$450.37	$112.50	$281.48	$160.08	2026-05-19
J1756	HCPCS	Iron Sucrose (venofer) 200mg/10ml Inj	3	3	$320.00	$256.00 20% off	$144.00	$160.00	$160.00	2026-05-19
99284	HCPCS	Ed Visit Modcomplex (4),Significant, Separately Identifiable Evaluation And Mana…	19	8	$317.79	$254.23 20% off	$111.54	$363.74	$158.90	2026-05-19
93880	HCPCS	Carotid Duplex Scan	22	8	$310.00	$248.00 20% off	$90.00	$460.26	$158.47	2026-05-19
12051	HCPCS	Rep Int Face Less 2.5 Cm	11	8	$424.26	$339.41	$139.95	$319.68	$155.50	2026-05-19
80323	HCPCS	Alkaloids Par	6	3	$331.00	$264.80	$113.40	$205.00	$155.25	2026-05-19
97605	HCPCS	Npwt < 50 Sq Cm Wound Vac Using Dme	8	8	$460.00	$368.00 20% off	$22.72	$230.00	$155.20	2026-05-19
26010	HCPCS	Drain Finger Abcess ER	14	8	$359.10	$287.28 20% off	$112.50	$179.55	$155.20	2026-05-19
28490	HCPCS	Great Toe Fx Clsd ER	11	8	$412.38	$329.90 20% off	$113.47	$206.19	$155.06	2026-05-19
G0410	HCPCS	Group Therapy G0410	3	3	$310.00	$248.00 20% off	$139.50	$155.00	$155.00	2026-05-19
72746	HCPCS	Anemia Profile B	3	3	$309.96	$247.97	$139.48	$154.98	$154.98	2026-05-19
G0177	HCPCS	Education Training	3	3	$307.00	$245.60 20% off	$138.15	$153.50	$153.50	2026-05-19
G0176	HCPCS	Activity Therapy	3	3	$305.00	$244.00 20% off	$137.25	$152.50	$152.50	2026-05-19
92977	HCPCS	Thrombolytic Therapy ER	12	6	$573.75	$459.00 20% off	$45.89	$310.75	$151.42	2026-05-19
70470	HCPCS	CT Head Without & W/contrast	16	8	$731.75	$585.40	$49.73	$552.50	$151.38	2026-05-19
80354	HCPCS	Fentanyl Confirmation	6	3	$320.72	$256.57 20% off	$119.25	$188.22	$150.95	2026-05-19
29405	HCPCS	Cast Short Leg App ER	14	8	$482.34	$385.87 20% off	$52.81	$241.17	$150.10	2026-05-19
29075	HCPCS	Cast Short Arm Appl ER	14	8	$482.34	$385.87 20% off	$56.44	$241.17	$150.10	2026-05-19
99387	HCPCS	Initial Clinic Age 65 Yrs	3	3	$300.00	$240.00 20% off	$135.00	$150.00	$150.00	2026-05-19
99397	HCPCS	Reeval Clinic Age 65 Yrs	3	3	$300.00	$240.00 20% off	$135.00	$150.00	$150.00	2026-05-19
28510	HCPCS	Fx Clos Not Great Toe ER	11	8	$412.38	$329.90 20% off	$109.92	$206.19	$149.81	2026-05-19
10140	HCPCS	I&d Hematoma/fluid ER	11	8	$2,814.00	$2,251.20 20% off	$106.21	$1,407.00	$149.46	2026-05-19
72129	HCPCS	CT T Spine With Contrast	8	8	$800.00	$640.00 20% off	$135.66	$400.00	$148.38	2026-05-19
80334	HCPCS	6 Or More Par	3	3	$296.00	$236.80	$133.20	$148.00	$148.00	2026-05-19
80352	HCPCS	Cann 7 Or More Par	3	3	$296.00	$236.80	$133.20	$148.00	$148.00	2026-05-19
72126	HCPCS	Rad Fee CT Cspne With CONT,Professional Component Only (separate From Technical Co…	8	8	$495.00	$396.00 20% off	$47.55	$247.50	$147.03	2026-05-19
99222	HCPCS	Acute & Obs Initial Md 55 Min	6	6	$388.41	$310.73	$118.78	$194.21	$146.78	2026-05-19
86617	HCPCS	Lyme Disease IgG, IgM	5	5	$326.00	$260.80	$13.94	$163.00	$146.70	2026-05-19
87521	HCPCS	Hep C Virus Rna/pcr Qual	5	5	$325.02	$260.02	$31.58	$162.51	$146.26	2026-05-19
86359	HCPCS	T Cell Subset (cd3 & Cd4)	5	5	$325.00	$260.00 20% off	$33.96	$162.50	$146.25	2026-05-19
80349	HCPCS	Cannabinoids Par	6	3	$311.22	$248.97 20% off	$110.70	$188.22	$146.20	2026-05-19
64636	HCPCS	Lumbar Radiofrequency Ablation Md	6	6	$530.00	$424.00 20% off	$53.73	$265.00	$146.12	2026-05-19
71260	HCPCS	CT Chest With Con	16	8	$763.25	$610.60 20% off	$45.55	$560.25	$145.36	2026-05-19
73701	HCPCS	CT Extremity Low W/contr	16	8	$576.00	$460.80 20% off	$45.31	$408.50	$145.09	2026-05-19
99235	HCPCS	Acute & Obs Dc Same Day 70 Pf	6	6	$320.00	$256.00 20% off	$144.00	$160.00	$144.94	2026-05-19
40804	HCPCS	Fbrmouth ER	11	8	$1,619.20	$1,295.36 20% off	$104.70	$809.60	$144.72	2026-05-19
86696	HCPCS	Hsv Type 2 Specific Ab, IgG	5	5	$321.00	$256.80	$17.42	$160.50	$144.45	2026-05-19
73200	HCPCS	CT Upper Ext Without Contrast	11	8	$795.00	$636.00 20% off	$81.04	$397.50	$144.00	2026-05-19
84238	HCPCS	Transferrin Soluble	5	5	$315.00	$252.00 20% off	$32.91	$157.50	$141.75	2026-05-19
86886	HCPCS	Indirect Coombs	5	5	$315.00	$252.00 20% off	$130.59	$157.50	$141.75	2026-05-19
28630	HCPCS	Metatarsophanangeal Dislo	11	8	$412.38	$329.90 20% off	$101.35	$206.19	$140.66	2026-05-19

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